Factors Associated with Willingness to Accept Oral Fluid HIV Rapid Testing among Most-at-Risk Populations in China

Xun, Huanmiao; Kang, Dianmin; Huang, Tao; Qian, Yuesheng; Li, Xiufang; Wilson, Erin C.; Yang, Shan; Jiang, Zhenxia; Gong, Cuihua; Tao, Xiaorun; Zhang, Xijiang; Wang, Guoyong; Song, Yapei; Zhang, Xu; Marley, Gifty; Huai, Pengcheng; Ma, Wei

doi:10.1371/journal.pone.0080594

Cited by 40 publications

(59 citation statements)

References 34 publications

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“…Ten studies examined recent testing [25, 27–29, 35–40], which varied extensively from 76.1% in Canada (N = 435) [25] to 22% in China (N = 970) [38]. Six studies addressed willingness to test [18–20, 28, 41, 42], and this ranged from 88% (N = 17) in China [41] to 73.2% in India (N = 6648) [18]. Three studies reported that willingness facilitated actual HIV testing [20, 28, 41].…”

Section: Resultsmentioning

confidence: 99%

“…Wilson et al [21]n/an/aMandatory HIV testing not cost effectiven/an/a35. Xun et al [42]n/an/an/an/aOral fluid testHome testing36. Xu et al [23]n/an/an/an/an/a

ART antiretroviral therapy, CS cross sectional, EES entertainment-based sex workers, FGDs focus group discussions, FSWs female sex workers, HC health care, HCWs healthcare workers, HIV human immunodeficiency virus, HIV P HIV prevalence, HR harm reduction, IDUs injection drug users, ID identity card, MSM men who have sex with men, MSWs male sex workers, NGO non-governmental organizations, SP sexual partner, STI sexually transmitted infections, SSWs street-based sex workers, SW sex work, TSG transgender, QN quantitative, QL qualitative, n/a non applicable, VCT voluntary counselling and testing

…”

Section: Resultsmentioning

confidence: 99%

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HIV Testing and Counseling Among Female Sex Workers: A Systematic Literature Review

et al. 2018

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HIV testing uptake continues to be low among Female Sex Workers (FSWs). We synthesizes evidence on barriers and facilitators to HIV testing among FSW as well as frequencies of testing, willingness to test, and return rates to collect results. We systematically searched the MEDLINE/PubMed, EMBASE, SCOPUS databases for articles published in English between January 2000 and November 2017. Out of 5036 references screened, we retained 36 papers. The two barriers to HIV testing most commonly reported were financial and time costs—including low income, transportation costs, time constraints, and formal/informal payments—as well as the stigma and discrimination ascribed to HIV positive people and sex workers. Social support facilitated testing with consistently higher uptake amongst married FSWs and women who were encouraged to test by peers and managers. The consistent finding that social support facilitated HIV testing calls for its inclusion into current HIV testing strategies addressed at FSW.

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Section: Resultsmentioning

confidence: 99%

“…Wilson et al [21]n/an/aMandatory HIV testing not cost effectiven/an/a35. Xun et al [42]n/an/an/an/aOral fluid testHome testing36. Xu et al [23]n/an/an/an/an/a

…”

Section: Resultsmentioning

confidence: 99%

HIV Testing and Counseling Among Female Sex Workers: A Systematic Literature Review

et al. 2018

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“…In comparison to MSM who had never tested for HIV, men who had tested for HIV in the past year were more likely to have never had sex with women, have had male anal sex partners in the past 3 months, and more likely to have disclosed their sexual orientation to others (Table 5). Previous studies have shown that higher education and self-perceived risk for HIV are positively correlated with history of HIV testing (Han et al, 2014; Xun et al, 2013). Further, in China close to one-half of MSM are likely to be married (Chen et al, 2012).…”

Section: Discussionmentioning

confidence: 97%

HIV test uptake among MSM in China: Implications for enhanced HIV test promotion campaigns among key populations

Han

Wei

Muessig

et al. 2016

Global Public Health

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Despite global efforts to increase HIV test uptake among men who have sex with men (MSM), social stigma and negative attitudes toward homosexuality hinder the effectiveness of traditional test promotion campaigns. Increasing HIV test uptake requires greater understanding of the conditions that facilitate decisions to get tested. We conducted an online survey hosted by two of the most highly frequented MSM web portals in China. A generalised ordered logistic regression analysis was conducted to determine factors associated with HIV testing behaviour. Compared to men who had never tested for HIV, men who had tested in the past year were more likely to have never engaged in sex with women, have multiple male sex partners in the past 3 months and have disclosed their sexual orientation to others. MSM found testing at local Chinese Centers for Disease Control and Prevention (80.7%), gay men’s community-based organisations (80.2%) and public hospitals (70.9%) to be acceptable, while saunas (50.5%) and gay bars (41.8%) were found to be unacceptable testing venues. Our study shows that MSM in China prefer to test at venues that guarantee confidentiality, quality and quick results. Our study also suggests that self-testing may be a feasible approach to increase test uptake.

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“…22 For example, Xu, et al 31 conducted in-person interviews among 371 MSM in China and 73% indicated that they were willing to accept oral fluid testing. Greacen, et al 32 queried 5908 HIV-uninfected MSM in France through an internet-based survey who denied being aware of oral fluid rapid HIV self-testing; of these MSM, 87% showed interest in using the test.…”

Section: Discussionmentioning

confidence: 99%

Preferences for oral fluid rapid HIV self-testing among social media-using young black, Hispanic, and white men-who-have-sex-with-men (YMSM): implications for future interventions

et al. 2017

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Objectives We assessed preferences of social media-using young black, Hispanic and white men-who-have-sex-with-men (YMSM) for oral fluid rapid HIV self-testing, as compared with other currently available HIV testing options. We also identified aspects of the oral fluid rapid HIV self-test that might influence preferences for using this test instead of other HIV testing options and determined if consideration of HIV testing costs and the potential future availability of fingerstick rapid HIV self-testing change HIV testing preferences. Study design Anonymous online survey. Methods HIV-uninfected YMSM across the United States recruited from multiple social media platforms completed an online survey about willingness to use, opinions about and their preferences for using oral fluid rapid HIV self-testing and five other currently available HIV testing options. In a pre/post questionnaire format design, participants first indicated their preferences for using the six HIV testing options (pre) before answering questions that asked their experience with and opinions about HIV testing. Although not revealed to participants and not apparent in the phrasing of the questions or responses, the opinion questions concerned aspects of oral fluid rapid HIV self-testing (e.g. its possible advantages/disadvantages, merits/demerits, and barriers/facilitators). Afterward, participants were queried again about their HIV testing preferences (post). After completing these questions, participants were asked to re-indicate their HIV testing preferences when considering they had to pay for HIV testing and if fingerstick blood sample rapid HIV self-testing were an additional testing option. Aspects about the oral fluid rapid HIV self-test associated with influencing increased the preference for using the test (post assessment vs pre-assessment of opinion topics) were identified through multivariable regression models that adjusted for participant characteristics. Results Of the 1975 YMSM participants, the median age was 22 years (IQR 20–23); 19% were black, 36% Hispanic, and 45% white; and 18% previously used an oral fluid rapid HIV self-test. Although views about oral fluid rapid HIV self-testing test were favorable, few intended to use the test. Aspects about the oral fluid rapid HIV self-test associated with an increased preference for using the test were its privacy features, that it motivated getting tested more often or as soon as possible, and that it conferred feelings of more control over one’s sexual health. Preferences for the oral fluid rapid HIV self-test were lower when costs were considered, yet these YMSM were much more interested in fingerstick blood sampling than oral fluid sampling rapid HIV self-testing. Conclusions Despite the perceived advantages of the oral fluid rapid HIV self-test and favorable views about it by this population, prior use as well as future intention in using the test were low. Aspects about oral fluid rapid HIV self-testing identified as influential in this study might assist in intervent...

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Factors Associated with Willingness to Accept Oral Fluid HIV Rapid Testing among Most-at-Risk Populations in China

Cited by 40 publications

References 34 publications

HIV Testing and Counseling Among Female Sex Workers: A Systematic Literature Review

HIV Testing and Counseling Among Female Sex Workers: A Systematic Literature Review

HIV test uptake among MSM in China: Implications for enhanced HIV test promotion campaigns among key populations

Preferences for oral fluid rapid HIV self-testing among social media-using young black, Hispanic, and white men-who-have-sex-with-men (YMSM): implications for future interventions

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